Individual
MANUEL D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-3049
(219) 836-7295
Mailing address
PO BOX 781076, DETROIT, MI 48278-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28187169A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010985A
IN
Other
Enumeration date
02/02/2021
Last updated
05/11/2023
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